Academic Journal
Stillbirths including intrapartum timing: EN-BIRTH multi-country validation study.
| العنوان: | Stillbirths including intrapartum timing: EN-BIRTH multi-country validation study. |
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| المؤلفون: | Peven, K, Day, LT, Ruysen, H, Tahsina, T, Kc, A, Shabani, J, Kong, S, Ameen, S, Basnet, O, Haider, R, Rahman, QS-U, Blencowe, H, Lawn, JE, EN-BIRTH Study Group |
| بيانات النشر: | BioMed Central |
| سنة النشر: | 2021 |
| المجموعة: | Queen Mary University of London: Queen Mary Research Online (QMRO) |
| مصطلحات موضوعية: | Birth, Health management information systems, Hospital records, Maternal, Neonatal, Stillbirth, Survey, Validity, Adolescent, Adult, Bangladesh, Data Accuracy, Female, Gestational Age, Hospitals, Humans, Infant, Newborn, Live Birth, Nepal, Pregnancy, Registries, Sensitivity and Specificity, Tanzania, Young Adult |
| الوصف: | BACKGROUND: An estimated >2 million babies stillborn around the world each year lack visibility. Low- and middle-income countries carry 84% of the burden yet have the least data. Most births are now in facilities, hence routine register-recording presents an opportunity to improve counting of stillbirths, but research is limited, particularly regarding accuracy. This paper evaluates register-recorded measurement of hospital stillbirths, classification accuracy, and barriers and enablers to routine recording. METHODS: The EN-BIRTH mixed-methods, observational study took place in five hospitals in Bangladesh, Nepal and Tanzania (2017-2018). Clinical observers collected time-stamped data on perinatal care and birth outcomes as gold standard. To assess accuracy of routine register-recorded stillbirth rates, we compared birth outcomes recorded in labour ward registers to observation data. We calculated absolute rate differences and individual-level validation metrics (sensitivity, specificity, percent agreement). We assessed misclassification of stillbirths with neonatal deaths. To examine stillbirth appearance (fresh/macerated) as a proxy for timing of death, we compared appearance to observed timing of intrauterine death based on heart rate at admission. RESULTS: 23,072 births were observed including 550 stillbirths. Register-recorded completeness of birth outcomes was > 90%. The observed study stillbirth rate ranged from 3.8 (95%CI = 2.0,7.0) to 50.3 (95%CI = 43.6,58.0)/1000 total births and was under-estimated in routine registers by 1.1 to 7.3 /1000 total births (register: observed ratio 0.9-0.7). Specificity of register-recorded birth outcomes was > 99% and sensitivity varied between hospitals, ranging from 77.7-86.1%. Percent agreement between observer-assessed birth outcome and register-recorded birth outcome was very high across all hospitals and all modes of birth (> 98%). Fresh or macerated stillbirth appearance was a poor proxy for timing of stillbirth. While there were similar numbers of ... |
| نوع الوثيقة: | article in journal/newspaper |
| اللغة: | English |
| Relation: | BMC Pregnancy and Childbirth; Peven, K., Day, L.T., Ruysen, H. et al. Stillbirths including intrapartum timing: EN-BIRTH multi-country validation study. BMC Pregnancy Childbirth 21, 226 (2021). https://doi.org/10.1186/s12884-020-03238-7; https://qmro.qmul.ac.uk/xmlui/handle/123456789/73328 |
| DOI: | 10.1186/s12884-020-03238-7 |
| الاتاحة: | https://qmro.qmul.ac.uk/xmlui/handle/123456789/73328 https://doi.org/10.1186/s12884-020-03238-7 |
| Rights: | Creative Commons Attribution 4.0 International License ; http://creativecommons.org/licenses/by/4.0/ ; © The Author(s). 2021 |
| رقم الانضمام: | edsbas.2BE5AEB8 |
| قاعدة البيانات: | BASE |
| DOI: | 10.1186/s12884-020-03238-7 |
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